Active NPI
Kristen Lee Smith, AU.D.
- Audiologist
- Cincinnati, OH
National Provider Identifier
1689823510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-01303
- Practice address
- 4760 E Galbraith Rd
Suite 111
Cincinnati, OH 45236-6703 - Phone
- (513) 936-4824
- Fax
- (513) 791-1152
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-01303 | OH | Primary |
Addresses
Primary practice location
4760 E Galbraith Rd
Suite 111
Cincinnati, OH 45236-6703
Mailing address
4760 E Galbraith Rd
Suite 111
Cincinnati, OH 45236-6703
Phone (513) 936-4824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090325000000 | OH | Practitioner - Qualified Audiologist | 7618034398 | Practice locations: Cincinnati, OH; Montgomery, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9200 Montgomery Rd
Suite 18a
Montgomery, OH 45242-7794
Phone (513) 936-4824
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-01303 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kricket Audiology, LLC | Audiologist | Past | Accepting new patients |
| Melvin K. Gross | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Blue Ash, OH
- NPI 1801157367
-
- Audiologist
- Fairfield, OH
- NPI 1417139155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1689823510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 E GALBRAITH RD",
"address_2": "SUITE 111",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452366703",
"telephone_number": "513-936-4824",
"fax_number": "513-791-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 E GALBRAITH RD",
"address_2": "SUITE 111",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452366703",
"telephone_number": "513-936-4824",
"fax_number": "513-791-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KRISTEN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A-01303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.